DOT Medical Exam and Commercial
Motor Vehicle Certifi cation Latest 2022
An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed
correct answers- Every Two Years
A driver presents with history of an isolated TIA 6 months ago. He has a return to work
letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and
simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner do next?
correct answers- Disqualify driver for now
FMCSA regulates interstate commercial operation including the
correct answers- Driver, Vehicle, and Motor Carrier
During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and
4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
correct answers- Certify driver for 2 years
Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
correct answers- Patellar reflex
A driver presents for medical exam and reports being a smoker and having frequent
shortness of breath. What do you
do next? correct answers- Order a spirometer test
According to regulation, which of the following must be evaluated as part of the eye
exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure
correct answers- Pupil reaction
Continued certification of NRCE Medical Examiners requires which of the following?
,A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly
correct answers- Periodic training at least every five years, Completion of certification
test every 10 years, Electronic transmission to FMCSA CMV Medical Examination
Results at least monthly
A driver presents for recertification. The only condition he lists is GERD, for which he
takes OTC omeprazole. He says
that when he is driving and eating fast foods, he is more likely to have heartburn than
when off‐duty. You should correct answers- Correlate history with abdominal exam
Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above
correct answers- Oxygen saturation 90%
The driver presents for recertification and submits an ultrasound report indicating an
abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should correct answers- Inform the driver of the 3 month waiting
period before he can be certified
The driver takes diphenhydramine twice a day to treat nasal congestion. What must you
document in order to
certify?
correct answers- Cannot drive within 12 hours of taking diphenhydramine
The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip
strengths are symmetrical
and strong. What is necessary in order to qualify this driver? correct answers-
Document her findings for 2‐year certification
Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis
correct answers- Nephrolithiasis
The waiting period for benign positional vertigo is correct answers- 2 months
, The driver's BP is 148/96. You verify her history, which indicates she has no prior
history of hypertension. If
otherwise qualified, you may certify her for correct answers- 1 year
The driver's current BP is 135/76. Your records indicate at history of Stage III
hypertension 4 years ago. The
maximum certification for this driver is
correct answers- 6 months
The driver presents for examination with a recent history (five weeks ago) of
pneumothorax. He has no prior history
of pneumothorax. In order to be considered medically qualified, his forced vital capacity
(FVC) should be greater than
correct answers- 65%
The recommended waiting period (WP) and certification period (CP) for a driver
following surgical correction for
intermittent claudication are
correct answers- WP 3 months, CP 1 year
Which of the following are disqualifying?
A. Pacemaker
B. Implanted defibrillator
C. Both a and b
D. Neither
correct answers- Implanted defibrillator
Five years post‐CABG, the driver must provide a copy of _________ in order to qualify
for recertification
correct answers- ETT
The driver has a 5‐year history of asthma, described as "well‐controlled". He carries
rescue inhaler for the times
when he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and his
FEV1 is 62% of predicted and his Pa02 is 62 mm. You should correct answers-
Disqualify and recommend that he return to his personal provider
What is the Primary mission of FMCSA?
correct answers- To promote the safety of the roadways.
During a driver's history, she describes her role and responsibilities as limited to the
driving component and
excluding strenuous activities. You should
correct answers- Conduct the full and standard physical examination
Motor Vehicle Certifi cation Latest 2022
An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed
correct answers- Every Two Years
A driver presents with history of an isolated TIA 6 months ago. He has a return to work
letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and
simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner do next?
correct answers- Disqualify driver for now
FMCSA regulates interstate commercial operation including the
correct answers- Driver, Vehicle, and Motor Carrier
During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and
4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
correct answers- Certify driver for 2 years
Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
correct answers- Patellar reflex
A driver presents for medical exam and reports being a smoker and having frequent
shortness of breath. What do you
do next? correct answers- Order a spirometer test
According to regulation, which of the following must be evaluated as part of the eye
exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure
correct answers- Pupil reaction
Continued certification of NRCE Medical Examiners requires which of the following?
,A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly
correct answers- Periodic training at least every five years, Completion of certification
test every 10 years, Electronic transmission to FMCSA CMV Medical Examination
Results at least monthly
A driver presents for recertification. The only condition he lists is GERD, for which he
takes OTC omeprazole. He says
that when he is driving and eating fast foods, he is more likely to have heartburn than
when off‐duty. You should correct answers- Correlate history with abdominal exam
Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above
correct answers- Oxygen saturation 90%
The driver presents for recertification and submits an ultrasound report indicating an
abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should correct answers- Inform the driver of the 3 month waiting
period before he can be certified
The driver takes diphenhydramine twice a day to treat nasal congestion. What must you
document in order to
certify?
correct answers- Cannot drive within 12 hours of taking diphenhydramine
The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip
strengths are symmetrical
and strong. What is necessary in order to qualify this driver? correct answers-
Document her findings for 2‐year certification
Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis
correct answers- Nephrolithiasis
The waiting period for benign positional vertigo is correct answers- 2 months
, The driver's BP is 148/96. You verify her history, which indicates she has no prior
history of hypertension. If
otherwise qualified, you may certify her for correct answers- 1 year
The driver's current BP is 135/76. Your records indicate at history of Stage III
hypertension 4 years ago. The
maximum certification for this driver is
correct answers- 6 months
The driver presents for examination with a recent history (five weeks ago) of
pneumothorax. He has no prior history
of pneumothorax. In order to be considered medically qualified, his forced vital capacity
(FVC) should be greater than
correct answers- 65%
The recommended waiting period (WP) and certification period (CP) for a driver
following surgical correction for
intermittent claudication are
correct answers- WP 3 months, CP 1 year
Which of the following are disqualifying?
A. Pacemaker
B. Implanted defibrillator
C. Both a and b
D. Neither
correct answers- Implanted defibrillator
Five years post‐CABG, the driver must provide a copy of _________ in order to qualify
for recertification
correct answers- ETT
The driver has a 5‐year history of asthma, described as "well‐controlled". He carries
rescue inhaler for the times
when he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and his
FEV1 is 62% of predicted and his Pa02 is 62 mm. You should correct answers-
Disqualify and recommend that he return to his personal provider
What is the Primary mission of FMCSA?
correct answers- To promote the safety of the roadways.
During a driver's history, she describes her role and responsibilities as limited to the
driving component and
excluding strenuous activities. You should
correct answers- Conduct the full and standard physical examination
